Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0412U

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0412U: Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific proteotyping, plasma combined with age, algorithm reported as presence or absence of brain amyloid pathology

Code: 0412U
Description: Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific proteotyping, plasma combined with age, algorithm reported as presence or absence of brain amyloid pathology
Source: New Hampshire Precertification List, Pg 52 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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